| NPI | 1205371770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00690500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016824) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2019-06-20 |