| NPI | 1124593868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00865400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 26802) |
| 207Q00000X Family Medicine (Licence: SD SD-CNP002566) | |
| 207Q00000X Family Medicine (Licence: WI 14147-33) | |
| 207Q00000X Family Medicine (Licence: NC 5017682) | |
| 207Q00000X Family Medicine (Licence: CT 10956) | |
| 207Q00000X Family Medicine (Licence: NY F35136-01) | |
| 207Q00000X Family Medicine (Licence: WV 114079) | |
| 207Q00000X Family Medicine (Licence: GA GAA-NP000985) | |
| 207Q00000X Family Medicine (Licence: ND R53236) | |
| 207Q00000X Family Medicine (Licence: PA SP025833) | |
| 207Q00000X Family Medicine (Licence: VA 0024184826) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2025-10-11 |