| NPI | 1457997991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01028900) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-12-08 |