| NPI | 1124474804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00786400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016044) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016044) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR14461000) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016044) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2026-09-18 |