| NPI | 1467787382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00223800) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-04-03 |