| NPI | 1023260643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11021115) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN08805600) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2025-09-16 |