| NPI | 1871058628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 256608) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2264996) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 002893) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001791) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29383) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 235331) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2026-03-03 |