| NPI | 1326462854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00481000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000726) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP013506) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-08-13 |