| NPI | 1215527544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 120675) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15174600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP030751) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002639) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 355366) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020776) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 200755) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 13820) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29341) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15846-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003379) | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-10-15 |