| NPI | 1871119313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007387) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME cnp241392) |
| 207Q00000X Family Medicine (Licence: NH 112323-23) | |
| 207Q00000X Family Medicine (Licence: DE lg-0012985) | |
| 207Q00000X Family Medicine (Licence: VT 101.0137755) | |
| 207Q00000X Family Medicine (Licence: MA APRN10004411) | |
| 207Q00000X Family Medicine (Licence: DC NP500023410) | |
| 207Q00000X Family Medicine (Licence: MD AC007855) | |
| 207Q00000X Family Medicine (Licence: KY 4027269) | |
| 207Q00000X Family Medicine (Licence: OH 0036949) | |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2025-10-26 |