| NPI | 1396301206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00870900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP018972) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |