| NPI | 1396430039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15069800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027066) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-09-05 |