| NPI | 1255392528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NR08813900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN08813900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP005897X) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA RN333340L) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171616) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-02-27 |