| NPI | 1528653078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314179) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15073700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500014514) | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-10-07 |