| NPI | 1134773245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11002671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 3001815) |
| 363LF0000X Nurse Practitioner Family (Licence: LA 234717) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH 0035417) | |
| 363LF0000X Nurse Practitioner Family (Licence: UT 138985624405) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 354380) | |
| 363LF0000X Nurse Practitioner Family (Licence: CT 12.013267) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15069700) | |
| 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP002343) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2024-07-18 |