| NPI | 1215419551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251664) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71017306A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0039298) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704437663) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70016453) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 115537-23) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2026-04-03 |