| NPI | 1750878930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00799500) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX API37070) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |