| NPI | 1316466220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017803) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 307818) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345851) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95030304) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2352626) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115408) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11032643) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704415661) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2024-08-20 |