| NPI | 1023416443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ0054100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP015031) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2024-10-08 |