| NPI | 1922540202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019961) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000270) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00888600) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP161106) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2023-11-08 |