| NPI | 1336307396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00089400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP008980) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2024-03-13 |