| NPI | 1013913797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00600900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013200) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008348) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-02-02 |