| NPI | 1790883981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R207891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4026319) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95402199) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 324640) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 7101710A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01505) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 231238) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAANP002700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034491) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2278597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 881530) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4865-0) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037213) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04626) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY RN500020907) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-10-15 |