| NPI | 1184896003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00127600) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA044139) | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL 375) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F347718-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202201782NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020871) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A177161) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100967) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24188689) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61499322) | |
| Enumeration Date | 2008-04-01 | 
| Last Update Date | 2024-03-27 |