| NPI | 1629467295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9331884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214520) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00815900) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2020-08-10 |