| NPI | 1427609718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP032745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 202619) |
| 207Q00000X Family Medicine (Licence: SC 30326) | |
| 207Q00000X Family Medicine (Licence: WI 16387-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012335) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191278) | |
| 207Q00000X Family Medicine (Licence: WV 120881) | |
| 207Q00000X Family Medicine (Licence: SD CP003532) | |
| 207Q00000X Family Medicine (Licence: NY 357220) | |
| 207Q00000X Family Medicine (Licence: GA GAA-NP003172) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ15366600) | |
| 207Q00000X Family Medicine (Licence: CT 14579) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2025-10-15 |