| NPI | 1992226153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24366) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 341942) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00656200) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-04-26 |