| NPI | 1043473903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00162600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA AP10858) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70011590) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-09-16 |