| NPI | 1467919951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00889500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00889500) |
| 363LF0000X Nurse Practitioner Family (Licence: PA NPPA055245) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA RN664388) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-04-17 |