| NPI | 1255435699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 01966) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 079676-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134309) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60724954) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032372) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002147) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-05-01 |