| NPI | 1407346893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15194100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018862) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-11-19 |