| NPI | 1073028189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0051446) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16163700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00753400) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2022-05-05 |