| NPI | 1073916706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00634300) |
| Additional Taxonomies | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: NJ 26NJ00634300) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP014197) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-12-08 |