| NPI | 1073897351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14966800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000910) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014112) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2024-11-22 |