| NPI | 1619599867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002706-C-N) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704371131) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 2102) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A157505) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 256884) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000211) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010907A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80097-112) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016026) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211043) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2021026890) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R50371) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0028828) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 29261) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-07-21 |