| NPI | 1770944456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9280563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9280563) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 37540) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH 0038132) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5021139) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP031389) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 317687) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1180821) | |
| 363LF0000X Nurse Practitioner Family (Licence: SC 29643) | |
| 363LF0000X Nurse Practitioner Family (Licence: AL 3-002038) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71016582A) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-05-15 |