| NPI | 1033787841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01118100) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-12-05 |