| NPI | 1336395532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335635) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407652) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 241884621) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP200004933) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10817) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2363574) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 31669) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2025-11-05 |