| NPI | 1447917000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024607) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP024607) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01281100) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP024607) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-07-16 |