| NPI | 1518526342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01055000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021388) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60975338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11969) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-06-22 |