| NPI | 1003984782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F334836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334836) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000837) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024173573) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000021325) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0000837) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP012425) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-07-21 |