| NPI | 1144527821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN140664) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 30211) |
| 207Q00000X Family Medicine (Licence: ND 201051) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 140664) | |
| 207Q00000X Family Medicine (Licence: SD cp003454) | |
| 207Q00000X Family Medicine (Licence: NC 5020979) | |
| 207Q00000X Family Medicine (Licence: VA 0024191665) | |
| 207Q00000X Family Medicine (Licence: WV 121146) | |
| 207Q00000X Family Medicine (Licence: PA spo32010) | |
| 207Q00000X Family Medicine (Licence: NY 968389) | |
| 207Q00000X Family Medicine (Licence: CT 13940) | |
| 207Q00000X Family Medicine (Licence: WI 16231-33) | |
| 207Q00000X Family Medicine (Licence: NJ 26nj15258300) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2025-10-13 |