| NPI | 1427564483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9356725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61639597) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4031615) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002076) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038191) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2024-12-20 |