| NPI | 1306245691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339061-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00723600) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016638) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 6723) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2022-07-21 |