| NPI | 1144990532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024028937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5021117) |
| 363L00000X Nurse Practitioner (Licence: VA 0024190760) | |
| 363L00000X Nurse Practitioner (Licence: IL 209025667) | |
| 363L00000X Nurse Practitioner (Licence: KY 4020454) | |
| 363L00000X Nurse Practitioner (Licence: NV PR17909) | |
| 363L00000X Nurse Practitioner (Licence: ID 6961375) | |
| 363L00000X Nurse Practitioner (Licence: MO 2024028937) | |
| 363L00000X Nurse Practitioner (Licence: WI 10866-33) | |
| 363L00000X Nurse Practitioner (Licence: OR 10029935) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2025-04-07 |