| NPI | 1780203075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A168316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115605) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037422) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 12021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023044262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1154899) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83132-111) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 98684) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 906230) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030141) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15288-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35525) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001202) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016039A) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-01-14 |