| NPI | 1487120358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 830829) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R201501) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193584) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201910216NP-PP) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2025-07-27 |