| NPI | 1851481543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp012730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NJ000947) |
| 363L00000X Nurse Practitioner (Licence: NJ NO109759) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-06-19 |