| NPI | 1023310877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00398400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010921) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2016-11-08 |