| NPI | 1225532344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012309) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ008900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350304) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-06-09 |