| NPI | 1346974870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F07220685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04605) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007852) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 356609) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137829) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 114393-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10019496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021215) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013257) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2026-03-31 |