| NPI | 1073206603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14906900) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-07-12 |