| NPI | 1164809323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033889) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704434295) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R277428) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500340834) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195286) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 259755) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2026-05-19 |