| NPI | 1235337064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00176700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009363) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-10-12 |