| NPI | 1346248747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 00087200) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F332092) | |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2025-12-16 |