| NPI | 1386620052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN08334800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP003185C) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-10-06 |