| NPI | 1972574176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003657) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17338-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 202112) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003986) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0017137828) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP033490) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 14621) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.30447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122615) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 357707) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-10-15 |