| NPI | 1447912134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 110888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192800) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA sp025078) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15227200) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0029838) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.013880) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 113070-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10018489) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1191902) | |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2025-10-14 |