| NPI | 1619528221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189242) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020923) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007279) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241008) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2025-07-10 |