| NPI | 1154609071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00912600) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011673) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95021191) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2361699) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R237822) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704371677) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F349441-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 108881) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP0029439) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2022-06-28 |