| NPI | 1508374273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00793800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028225) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 352852) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020252) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R55424) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003098) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189095) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14925-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APNRX.28239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.012747) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001964) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN-CNP118125) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012346) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC005604) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2025-10-13 |