| NPI | 1013518661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01212500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014345) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1099445) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-11-18 |