| NPI | 1992980098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A163583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A163583) |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00148600) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2021-07-12 |