| NPI | 1073171328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00889800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020143) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2024-10-07 |