| NPI | 1124365333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00595400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012645) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2020-12-03 |