| NPI | 1821012923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4012290) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 118341) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 092848) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME 231632) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-12-19 |