| NPI | 1548717192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021269) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R264221) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 72970) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704428423) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122616) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TELE274718) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2379437) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13506868-4405) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-10-10 |