| NPI | 1689924888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15948-33) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA GAA-NP003408) |
| 207Q00000X Family Medicine (Licence: OH APRN.CNP.137441) | |
| 207Q00000X Family Medicine (Licence: CT 12.015771) | |
| 207Q00000X Family Medicine (Licence: NC 5022075) | |
| 207Q00000X Family Medicine (Licence: VA 0024192748) | |
| 207Q00000X Family Medicine (Licence: NY 35825) | |
| 207Q00000X Family Medicine (Licence: ME CNP241569) | |
| 207Q00000X Family Medicine (Licence: FL APRN11035524) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2025-12-03 |