| NPI | 1700511698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031828) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN10008033) |
| 207Q00000X Family Medicine (Licence: NC 5020760) | |
| 207Q00000X Family Medicine (Licence: ME CNP241449) | |
| 207Q00000X Family Medicine (Licence: FL APRN11032325) | |
| 207Q00000X Family Medicine (Licence: RI APRN04322) | |
| 207Q00000X Family Medicine (Licence: MD AC006873) | |
| 207Q00000X Family Medicine (Licence: KS 53-83447-031) | |
| 207Q00000X Family Medicine (Licence: KY 4022631) | |
| 207Q00000X Family Medicine (Licence: NH 112241-23) | |
| 207Q00000X Family Medicine (Licence: VT 101.0137495) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012799) | |
| 207Q00000X Family Medicine (Licence: DC NP500020390) | |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2026-06-16 |