| NPI | 1245584622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0013001) |
| 363L00000X Nurse Practitioner (Licence: OH 40519) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2261422) | |
| 363L00000X Nurse Practitioner (Licence: CT 15055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012505) | |
| 363L00000X Nurse Practitioner (Licence: NH 111493-23) | |
| 363L00000X Nurse Practitioner (Licence: NC 5021830) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP241096) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2025-10-29 |