| NPI | 1467558528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00002900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006131B) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-11-18 |