| NPI | 1215509401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032768) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185550) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15328800) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-11-05 |