| NPI | 1013981265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN07554500) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335207) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP009372) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02170) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-01-13 |