| NPI | 1467864934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00430100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012532) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2015-01-12 |