| NPI | 1114643822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F310799-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP500018563) |
| 363L00000X Nurse Practitioner (Licence: DE LP-0010943) | |
| 363L00000X Nurse Practitioner (Licence: TX 1142299) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ15066200) | |
| 363L00000X Nurse Practitioner (Licence: MD R266020) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2025-10-24 |