| NPI | 1851790992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9444701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14432100) |
| 163W00000X Registered Nurse (Licence: FL 9444701) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00484000) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9444701) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00484000) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC002942) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-05-11 |