| NPI | 1831671650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA PENDING) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15234100) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-11-05 |