| NPI | 1306301791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15154600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045179) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001262) | |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2024-09-24 |