| NPI | 1720606437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005268) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 1043889967) |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 1992372403) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 1992372403) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN195187) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 289347) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004691-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012307) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020413) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 14739) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61407467) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500003673) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209026043) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP289347) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350772) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-04-30 |