| NPI | 1871078055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012753) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 12578) |
| 207Q00000X Family Medicine (Licence: NH 089395-23) | |
| 207Q00000X Family Medicine (Licence: AZ 306281) | |
| 207Q00000X Family Medicine (Licence: NC 5016992) | |
| 207Q00000X Family Medicine (Licence: MI 4704392593) | |
| 207Q00000X Family Medicine (Licence: IA A174043) | |
| 207Q00000X Family Medicine (Licence: GA GAA-NP0011135) | |
| 207Q00000X Family Medicine (Licence: FL APRN11005029) | |
| 207Q00000X Family Medicine (Licence: OH 0031727) | |
| 207Q00000X Family Medicine (Licence: ID 60729) | |
| 207Q00000X Family Medicine (Licence: KS 53-83981-032) | |
| 207Q00000X Family Medicine (Licence: TX 1117619) | |
| 207Q00000X Family Medicine (Licence: DE LG-0013704) | |
| 207Q00000X Family Medicine (Licence: IN 71017214A) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-03-25 |