| NPI | 1275003618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01021200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019666) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-04-28 |