| NPI | 1043478100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00166100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009658) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2017-10-18 |