| NPI | 1003237702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015852) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00465300) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013014) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2022-11-17 |