| NPI | 1831511898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00748600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN198957) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2018-05-17 |