| NPI | 1043593999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00269300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010434) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-03-01 |