| NPI | 1295189710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 28270068A) |
| 207Q00000X Family Medicine (Licence: MD R252146) | |
| 207Q00000X Family Medicine (Licence: MI 4704380804) | |
| 207Q00000X Family Medicine (Licence: MA RN2371292) | |
| 207Q00000X Family Medicine (Licence: RI APRN03129) | |
| 207Q00000X Family Medicine (Licence: TX 1071838) | |
| 207Q00000X Family Medicine (Licence: OR 100002978) | |
| 207Q00000X Family Medicine (Licence: HI APRN-3849) | |
| 207Q00000X Family Medicine (Licence: ME CNP211611) | |
| 207Q00000X Family Medicine (Licence: IL 277002682) | |
| 207Q00000X Family Medicine (Licence: NH 087530-23) | |
| 207Q00000X Family Medicine (Licence: AK 202310) | |
| 207Q00000X Family Medicine (Licence: NV 858162) | |
| 207Q00000X Family Medicine (Licence: VT 101.0135170) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-10-11 |