| NPI | 1174112452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01114900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022194) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-05-14 |