| NPI | 1396375564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01006000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025638) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-06-28 |