| NPI | 1811504319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 09349223) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4017056) | |
| 207Q00000X Family Medicine (Licence: OH 0036279) | |
| 207Q00000X Family Medicine (Licence: RI APRN04398) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136924) | |
| 207Q00000X Family Medicine (Licence: ME CNP241181) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006410) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012968) | |
| 207Q00000X Family Medicine (Licence: DC NP500021346) | |
| 207Q00000X Family Medicine (Licence: MA RN10004897) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82947-072) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-10-10 |