| NPI | 1285816603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 180731) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00133800) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-03-20 |