| NPI | 1205114295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250176NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR23132100) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20864) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN8) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349244) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2025-10-10 |