| NPI | 1215581970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704196541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500019019) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0012287) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R251830) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183753) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027347) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11025305) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2026-03-04 |