| NPI | 1316906159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09284300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP005379b) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-12-14 |