| NPI | 1043961873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 25MA11637200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024892) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-11-09 |