| NPI | 1124772546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021047826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A181047) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 80983) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4074417976) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 16187-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037277) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 11965) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115471) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015761A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.031352) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-01-22 |