| NPI | 1780258848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2311788) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013520) |
| 363L00000X Nurse Practitioner (Licence: NH 113823-23) | |
| 363L00000X Nurse Practitioner (Licence: KY 4035992) | |
| 363L00000X Nurse Practitioner (Licence: KS 53-84146-101) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP251152) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11038098) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0039137) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2026-05-26 |