| NPI | 1467043604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82407-081) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005514) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136520) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10010786) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36623) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1145368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 16025-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP031310) | |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2025-03-24 |