| NPI | 1700056033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9398617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104979) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344401) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5573) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 820843) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 081831-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02420) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002166-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 13287) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171188) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178144) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 2777000957) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A159261) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.30507) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 8581) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2025-10-25 |