| NPI | 1558782086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01343400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012081) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171258) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA sp024668) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2023-02-10 |