| NPI | 1861729485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.27914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00259000) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-12-08 |