| NPI | 1174716773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00125300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009446) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-05-28 |