| NPI | 1346276037 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09850900) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NN98509) | 
| 363L00000X Nurse Practitioner (Licence: PA SP010276) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NO09850900) | |
| 363L00000X Nurse Practitioner (Licence: PA NPPA043678) | |
| 363L00000X Nurse Practitioner (Licence: PA RN342218L) | |
| Enumeration Date | 2006-06-24 | 
| Last Update Date | 2025-08-18 |