| NPI | 1508296542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F347534-01) |
| 207Q00000X Family Medicine (Licence: GA RN311269) | |
| 207Q00000X Family Medicine (Licence: PA SP026123) | |
| 207Q00000X Family Medicine (Licence: VA 0024183929) | |
| 207Q00000X Family Medicine (Licence: SC 26025) | |
| 207Q00000X Family Medicine (Licence: SD CP002376) | |
| 207Q00000X Family Medicine (Licence: NC 5016238) | |
| 207Q00000X Family Medicine (Licence: WV 112485) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ14927800) | |
| 207Q00000X Family Medicine (Licence: WI 13283-33) | |
| 207Q00000X Family Medicine (Licence: ND R52162) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2025-10-20 |