| NPI | 1245777374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01396500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002446) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002446) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-10-11 |