| NPI | 1083126064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00925200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134924) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344867-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN517) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61215475) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 25373) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-02-24 |