| NPI | 1396031555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01075500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA041113) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 079135-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01959) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336729-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 83597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181270) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 7945) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2026-04-22 |