| NPI | 1376086322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR13792900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016796) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-08-26 |