| NPI | 1942896881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15252400) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37949) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192156) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-05-12 |