| NPI | 1295165850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9445364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02848) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2349614) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.10178) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 217685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28890A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348933) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171275) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241246) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2026-02-18 |