| NPI | 1871934224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16174900) |
| 363L00000X Nurse Practitioner (Licence: CT 10608) | |
| 163W00000X Registered Nurse (Licence: CA 95412956) | |
| 363L00000X Nurse Practitioner (Licence: CA 95035229) | |
| 163W00000X Registered Nurse (Licence: NY 657901) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ14953100) | |
| 163W00000X Registered Nurse (Licence: CT 193421) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2026-04-05 |