| NPI | 1164749917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4001608) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 341532) |
| 363L00000X Nurse Practitioner (Licence: RI APRN02523) | |
| 363L00000X Nurse Practitioner (Licence: OH RN308729) | |
| 363L00000X Nurse Practitioner (Licence: PA SP022576) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2344955) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024639) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2023-10-06 |