| NPI | 1639983380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15185400) |
| 363L00000X Nurse Practitioner (Licence: PA SP031805) | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-11 |