| NPI | 1578930301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-076595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041246) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 234277) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025031011) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71017137A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP033450) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039583) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2025-09-19 |