| NPI | 1356686059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00403000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 73884) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 2317150) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA sp016139) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11776) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11022702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0998836) | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2023-09-20 |