| NPI | 1467347476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15352800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032721) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-09-17 |