| NPI | 1316315120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR18321300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00618800) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015063) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2023-11-13 |