| NPI | 1013054287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NNO6330500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TPOOO644B) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-07-11 |