| NPI | 1265964134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN293056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00719400) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-04-23 |