| NPI | 1902076318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00451600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008042) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000584) | |
| 363L00000X Nurse Practitioner (Licence: DE LG0000584) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2015-03-17 |