| NPI | 1447897103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R264228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00983000) |
| 363L00000X Nurse Practitioner (Licence: MA RN2364033) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344179) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-05-01 |