| NPI | 1588325468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01244900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0139358) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA APTP.N3.70133780) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRNCNP126336) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APNCNP0042061) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2026-06-16 |