| NPI | 1477937894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 045430-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022559) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN217707) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134807) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191022) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-07-13 |