| NPI | 1780331447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15401100) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 86261) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251465) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013487) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 121355) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-11-21 |