| NPI | 1174515795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN09214200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007726) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-04-08 |