| NPI | 1629282603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00431500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R161878) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00431500) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010837) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-11-27 |