| NPI | 1457369191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00014800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP006686B) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP006686B) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-01-04 |