| NPI | 1508605429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A188414) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 358204) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195563) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 58065) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 116550-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD 200292) | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2026-04-27 |