| NPI | 1417387127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2022002506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26N011083600) |
| 163W00000X Registered Nurse (Licence: PA RN603706) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2022-07-03 |