| NPI | 1619328531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA RN771906) |
| 207Q00000X Family Medicine (Licence: NM 73459) | |
| 207Q00000X Family Medicine (Licence: OH 0033510) | |
| 207Q00000X Family Medicine (Licence: FL APRN11017414) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 129726) | |
| 207Q00000X Family Medicine (Licence: AZ 2900130) | |
| 207Q00000X Family Medicine (Licence: TN 30926) | |
| 207Q00000X Family Medicine (Licence: MA COND2374574) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT RN15273) | |
| 207Q00000X Family Medicine (Licence: VA 0024184951) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 26NJ150158000) | |
| 207Q00000X Family Medicine (Licence: KS 53-80878-031) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012611) | |
| 207Q00000X Family Medicine (Licence: IA A167152) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-10-12 |