| NPI | 1225502511 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 997639)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 088819-23)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH 38254)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE L5-000007)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11000187)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 14195)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016715)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 234895)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A182727)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137506)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021803)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14205239-4405)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 9171556)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003374)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 232157)  | |
| Enumeration Date | 2019-01-19 | 
| Last Update Date | 2025-07-10 |