| NPI | 1801172184 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007488)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 115299)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1427233)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F35314801)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN27040AP)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP002759)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186174)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15045200)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP028713)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA 12859NP)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAANP001924)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11457)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R53713)  | |
| Enumeration Date | 2011-10-31 | 
| Last Update Date | 2025-04-03 |