| NPI | 1356839864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347285-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP002362) |
| 163W00000X Registered Nurse (Licence: NY 732749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11011435) | |
| 163W00000X Registered Nurse (Licence: FL RN9488646) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR16179600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95017969) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01122600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1117633) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-09-24 |