| NPI | 1356431894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R26295) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO C-APN.0101051) |
| 207Q00000X Family Medicine (Licence: NC 5014871) | |
| 207Q00000X Family Medicine (Licence: RI 02768) | |
| 207Q00000X Family Medicine (Licence: AR 225172) | |
| 207Q00000X Family Medicine (Licence: OH 0031052) | |
| 207Q00000X Family Medicine (Licence: AZ 293828) | |
| 207Q00000X Family Medicine (Licence: MS 904926) | |
| 207Q00000X Family Medicine (Licence: NY 348384) | |
| 207Q00000X Family Medicine (Licence: IL 209028121) | |
| 207Q00000X Family Medicine (Licence: IA A150311) | |
| 207Q00000X Family Medicine (Licence: WI 14349-33) | |
| 207Q00000X Family Medicine (Licence: CT 11661) | |
| 207Q00000X Family Medicine (Licence: KS 82146) | |
| 207Q00000X Family Medicine (Licence: MI 4704376142) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2026-03-03 |