NPI | 1427858943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15279800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032100) |
Enumeration Date | 2025-03-14 |
Last Update Date | 2025-03-18 |