| NPI | 1871011445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA rn132120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 202776) |
| 207Q00000X Family Medicine (Licence: SD CP003733) | |
| 207Q00000X Family Medicine (Licence: CT 232015) | |
| 207Q00000X Family Medicine (Licence: WV 123536) | |
| 207Q00000X Family Medicine (Licence: SC 30974a) | |
| 207Q00000X Family Medicine (Licence: NC 5022438) | |
| 207Q00000X Family Medicine (Licence: VA 24193961) | |
| 207Q00000X Family Medicine (Licence: WI 17336-33) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ15371500) | |
| 207Q00000X Family Medicine (Licence: GA rn132120) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-10-20 |