| NPI | 1811508567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95033245) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11008644) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F355815-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TELE299388) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.016484) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85012-021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 40605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191609) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0138426TELE) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1156028) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2026-08-26 |