| NPI | 1194227207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00805900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP018556) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ00805900) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-03-04 |