| NPI | 1518460484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704306315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997415) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 168146) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1203310) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 71902) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1071814) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 219239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 224518) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012425A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 222184) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 907304) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 851807) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 49559) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-10-10 |