| NPI | 1932812203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038964) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 500024092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE 0013239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 10023685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 114430-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4039842) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD 007826) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME 251116) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137771) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI 04687) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84360-012) | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2026-05-02 |