| NPI | 1275962102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.00002171-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 9142) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 257458) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000005) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010263A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A159557) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209023024) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79574-082) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014741) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201259) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 7541) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704365611) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020019955) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 347645) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-08-07 |