| NPI | 1811504319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006410) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4017056) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82947-072) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-03-19 |