| NPI | 1801276019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33573) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 26NJ00841400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 340004) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-09-24 |