| NPI | 1003119256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336940-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-043213) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2004021312) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN 0000016560) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4572) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP21695) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2013-08-12 |