| NPI | 1134574262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704215283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016231) |
| 363L00000X Nurse Practitioner (Licence: NY 432829) | |
| 363L00000X Nurse Practitioner (Licence: IN 71014908A) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024185807) | |
| 363L00000X Nurse Practitioner (Licence: IL 209031775) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ14869100) | |
| 363L00000X Nurse Practitioner (Licence: CT 11716) | |
| 363L00000X Nurse Practitioner (Licence: DC NP500016857) | |
| 363L00000X Nurse Practitioner (Licence: PA NPPA059439) | |
| 363L00000X Nurse Practitioner (Licence: VT 101.0138100) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11018483) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035577) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-09-30 |