| NPI | 1720033061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016957) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NN068931) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-02-22 |