| NPI | 1811595986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024198230) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 406183) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 42661) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A193123) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0042679) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-003179) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2026037029) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1119256) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 90654) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2026-08-05 |