| NPI | 1417493321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00796100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016997) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2021-06-30 |