| NPI | 1922024561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRNJ11021984) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 0408652303) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-11-30 |