| NPI | 1912581737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 871769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11015889) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01317600) | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-04-15 |