| NPI | 1245729854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND 203413) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 124210) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342814) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15391600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24194927) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-10-14 |