| NPI | 1477018398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI APRN03286) |
| 207Q00000X Family Medicine (Licence: NH 08779723) | |
| 207Q00000X Family Medicine (Licence: DE LG0011985) | |
| 207Q00000X Family Medicine (Licence: KY 3017588) | |
| 207Q00000X Family Medicine (Licence: KS 5381048092) | |
| 207Q00000X Family Medicine (Licence: VT 101.0135269) | |
| 207Q00000X Family Medicine (Licence: MA APRN100001915) | |
| 207Q00000X Family Medicine (Licence: MD AC004333) | |
| 207Q00000X Family Medicine (Licence: OH APRN.CNP.0032165) | |
| 207Q00000X Family Medicine (Licence: ME CNP221136) | |
| 207Q00000X Family Medicine (Licence: DC NP200006415) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2025-10-14 |