NPI | 1689384158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032037) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032037) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01341500) | |
Enumeration Date | 2022-11-25 |
Last Update Date | 2025-08-22 |