| NPI | 1073139325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11041571) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01078200) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-11-10 |