| NPI | 1417351735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R224551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE AN-0024823) |
| 363L00000X Nurse Practitioner (Licence: MD R224551) | |
| 363L00000X Nurse Practitioner (Licence: NJ LG0011657) | |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0011657) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC001406) | |
| 363LF0000X Nurse Practitioner Family (Licence: DE L1-0035904) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2025-08-20 |