| NPI | 1063877660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00610400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016004) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2023-09-20 |