| NPI | 1447899091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00990600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031528) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193142) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 121485) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2025-11-10 |