| NPI | 1508335290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11013559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00880800) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2025-06-09 |