| NPI | 1801371810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R266446) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 101.0135884) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209023446) | |
| 207Q00000X Family Medicine (Licence: OH 31288) | |
| 207Q00000X Family Medicine (Licence: NY 352704) | |
| 207Q00000X Family Medicine (Licence: RI APRN03346) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ14886000) | |
| 207Q00000X Family Medicine (Licence: DC NP500003997) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-10-14 |