| NPI | 1851812762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19352000) |
| 163W00000X Registered Nurse (Licence: AZ 135036) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00746500) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-06-18 |