| NPI | 1750815981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036218) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0998319-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1018680) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 205982) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202214075NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 218311) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31008) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012312A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 266569) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-189241) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4054) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209015187) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-12-31 |