| NPI | 1275245979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032999) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95030935) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ APRN-RNP309537) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17462-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15411700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5022816) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003763) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002322) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 241929) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122712) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND APRN-CNP202051) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 30223) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.014776) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 354488) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2025-10-16 |