| NPI | 1083159115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR06367800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN220660L) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2021-02-24 |