| NPI | 1104458751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220216) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP70014578) |
| 207Q00000X Family Medicine (Licence: VA 0024188994) | |
| 207Q00000X Family Medicine (Licence: NC 5022496) | |
| 207Q00000X Family Medicine (Licence: CO APN0102926-C-NP) | |
| 207Q00000X Family Medicine (Licence: OH 0038608) | |
| 207Q00000X Family Medicine (Licence: IA A185201) | |
| 207Q00000X Family Medicine (Licence: TX 1176309) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ15421300) | |
| 207Q00000X Family Medicine (Licence: FL APRN11030058) | |
| 207Q00000X Family Medicine (Licence: TN 40023) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-10-21 |