| NPI | 1114395423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F35053201) |
| 207Q00000X Family Medicine (Licence: PA SP025918) | |
| 207Q00000X Family Medicine (Licence: GA 000668) | |
| 207Q00000X Family Medicine (Licence: VA 0024183845) | |
| 207Q00000X Family Medicine (Licence: WV 112208) | |
| 207Q00000X Family Medicine (Licence: SD CP002370) | |
| 207Q00000X Family Medicine (Licence: CT 10894) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ01378000) | |
| 207Q00000X Family Medicine (Licence: WI 12070) | |
| 207Q00000X Family Medicine (Licence: SC 26068) | |
| 207Q00000X Family Medicine (Licence: TN 37145) | |
| 207Q00000X Family Medicine (Licence: ND R52115) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2025-10-17 |