| NPI | 1851774814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9355989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906824) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241422) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024029961) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0012881) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 237297) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A180900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137273) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-12-18 |