| NPI | 1609013531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9440780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14067) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018443) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0033911) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 46222) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 089515) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A173800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015927A) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-12-04 |