| NPI | 1790296010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704248326) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 26916A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 1179280) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0032457) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 144493) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32108) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 197282) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016602) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 08922223) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023046595) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1085408) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 261971) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014232A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A173965) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2024-10-24 |