| NPI | 1154747970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15320200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 14498) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5022027) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 202235) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN203708) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032710) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 30174) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78595-112) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192898) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 16604-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122379) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2025-05-14 |