| NPI | 1447667787 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2014024608) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3016690) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 537673062) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277001410) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209012593) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014024608) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 76737) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 205099) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A165399) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016690) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001410) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11346-33) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 205099) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 1134633) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A165399) | |
| Enumeration Date | 2014-07-18 | 
| Last Update Date | 2024-07-18 |