| NPI | 1366796799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00439600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012511) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-01-15 |