| NPI | 1144566019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00684000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SPO12640) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-05-22 |