| NPI | 1972597151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002642) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 110444474) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171834) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 908008) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004349) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29802) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2026-03-05 |