| NPI | 1700339249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704283860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 31327) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14260030-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4053505) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013583) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A189806) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2026-03-02 |