| NPI | 1588177158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175415) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01405400) |
| 363L00000X Nurse Practitioner (Licence: PA SP021400) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004730) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-09-12 |