| NPI | 1821588351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1176885) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 356643) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP318742) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195013) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95034842) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN397) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10017146) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-11-13 |