| NPI | 1457892226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11005670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN260247) |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00774600) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2021-12-04 |