| NPI | 1164872701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00730400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00730400) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-04-27 |