| NPI | 1073754727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00305000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010212) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2021-05-03 |