| NPI | 1750892741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN313) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 47645) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 084907-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 68512) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F347968-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A168159) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3283) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175214) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-04-05 |