| NPI | 1477558351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00030600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11009647) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP003816C) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-03-08 |