| NPI | 1619396272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004365) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 087808-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006852) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03173) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2363521) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017587) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH .0031503) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 500002202) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221133) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136564) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81049041) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011983) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2025-10-11 |