| NPI | 1487905014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 14266) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039599) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15356500) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.29822.APRN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193620) | |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2025-07-21 |