| NPI | 1124503057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26nj00861000) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-11-11 |