| NPI | 1841331766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP004791C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NC06500400) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-09-23 |