| NPI | 1124873427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14962200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN712030) |
| 163W00000X Registered Nurse (Licence: NJ 26NR24553600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP028881) | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |