| NPI | 1790784429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00318200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN345567L) |
| 363L00000X Nurse Practitioner (Licence: DE LG0000208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9297250) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA UP004711B) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2024-08-30 |