| NPI | 1811374820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009366) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009366) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005988A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01997) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-08-02 |