| NPI | 1457947582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN10005382) |
| 207Q00000X Family Medicine (Licence: OH 0036346) | |
| 207Q00000X Family Medicine (Licence: VT 101.0137023) | |
| 207Q00000X Family Medicine (Licence: NH 111282-23) | |
| 207Q00000X Family Medicine (Licence: MD AC006603) | |
| 207Q00000X Family Medicine (Licence: DC NP500017285) | |
| 207Q00000X Family Medicine (Licence: ME CNP241180) | |
| 207Q00000X Family Medicine (Licence: KY 4017016) | |
| 207Q00000X Family Medicine (Licence: RI APRN04149) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012719) | |
| 207Q00000X Family Medicine (Licence: KS 53-83082-092) | |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2025-10-13 |