| NPI | 1760987770 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112440) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704366216) | 
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2357585) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014768) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201296) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 7683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020020523) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023398) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010205A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002157-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A159368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 251766) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79603-091) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 9368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000141) | |
| Enumeration Date | 2018-03-30 | 
| Last Update Date | 2024-08-06 |