| NPI | 1902537038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2536) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1169690) | |
| 163W00000X Registered Nurse (Licence: NY 689095) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012858) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000145-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10042097) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4036258) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-03-26 |