| NPI | 1225665011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15169800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021652) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004405) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-11-22 |