| NPI | 1417470857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342049) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01207200) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A181313) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-02-04 |