| NPI | 1093720658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN10455400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ NN10455400) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-07-28 |