| NPI | 1124883228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15062600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1208251) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11042520) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0105088) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 3228739) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 86012) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F353531) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj15062600) | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-09-26 |