| NPI | 1669191706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A179880) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14865300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95029568) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024309) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA RN61667205) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-07-10 |