| NPI | 1619741824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP028636) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ LG-0012746) |
| 363L00000X Nurse Practitioner (Licence: DE LG0012746) | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-12-05 |