| NPI | 1922545946 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020416)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137113)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28644)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 112004-23)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189921)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC005774)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4022458)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA APRN10003191)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04245)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019924)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500019068)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012797)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83309-102)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032927)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241265)  | |
| Enumeration Date | 2017-01-28 | 
| Last Update Date | 2025-10-13 |