| NPI | 1194199000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00628500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018396) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP018396) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000903) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2020-04-07 |