| NPI | 1992163422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015746) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA A0915003) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01153900) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2022-06-29 |