| NPI | 1689219313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 333895) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196391) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209035107) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704437336) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0105755-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15544300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 40755) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0041289) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.31483) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA NP004507) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC008685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11005056) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP035447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10037274) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2026-04-24 |