| NPI | 1235890617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012947) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83572-102) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 120789) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 112593-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003369) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037801) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4027487) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191360) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 200803) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29356) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15968-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN110351) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241495) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2025-10-16 |