| NPI | 1376523704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNO9249437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9249437) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00027500) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-10-25 |