| NPI | 1730734146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R161879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179074) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 120545) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 355479) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAANP002542) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15810-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003335) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032563) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15135400) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 200765) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29217A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 224096) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020870) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406521) | |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2025-10-15 |