| NPI | 1548652704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01006900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR13371500) |
| 363L00000X Nurse Practitioner (Licence: DE LM0000158) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-07-31 |