| NPI | 1982253670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4008566) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10047951) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14092-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14235306-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 10540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114637) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R54645) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 14-159208-011) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 224725) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025034368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A174959) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP002822) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-10-14 |