| NPI | 1427426006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 04152025) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 11398723) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00580500) | |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2025-06-02 |