| NPI | 1962451278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21307) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ000882) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9448158) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2021-11-10 |