| NPI | 1073951000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9427836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9427836) |
| 363L00000X Nurse Practitioner (Licence: DC C-APN.0001940-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0001940-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: NJ NJDCATEMP-007508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2292198) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 33338002) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-06-16 |