| NPI | 1356301543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1147880) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-147880) |
| 363L00000X Nurse Practitioner (Licence: NJ NN62144) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-02-01 |