| NPI | 1447584537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA Rn222007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN222007) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00232200) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00232200) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2023-04-11 |