| NPI | 1134272628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11023455) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26no10472200) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-09-06 |