| NPI | 1295400992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01114800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP027771) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11012884) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-08-09 |