| NPI | 1225660996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01067900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP021426) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-08-13 |