| NPI | 1801244173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00628800) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2374115) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95021068) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024672) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2026-03-20 |