| NPI | 1104285568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00623200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015743) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-01-17 |