| NPI | 1447530159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR14581400) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-09-10 |