| NPI | 1316301708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R222720) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA APRN10001802) |
| 207Q00000X Family Medicine (Licence: RI APRN03113) | |
| 207Q00000X Family Medicine (Licence: ME CNP221085) | |
| 207Q00000X Family Medicine (Licence: OH APRN.CNP.19099) | |
| 207Q00000X Family Medicine (Licence: DC NP500002240) | |
| 207Q00000X Family Medicine (Licence: FL APRN11018331) | |
| 207Q00000X Family Medicine (Licence: NH 087846-23) | |
| 207Q00000X Family Medicine (Licence: KS 53-80988-111) | |
| 207Q00000X Family Medicine (Licence: KY 3017538) | |
| 207Q00000X Family Medicine (Licence: VT 101.0135384) | |
| 207Q00000X Family Medicine (Licence: DE LG-0011987) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2025-11-14 |