| NPI | 1801436910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9405352) |
| 163W00000X Registered Nurse (Licence: NY 960793) | |
| 363L00000X Nurse Practitioner (Licence: TX 1176649) | |
| 363L00000X Nurse Practitioner (Licence: AZ 326247) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 355287) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191319) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002774) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1176649) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-07-29 |