| NPI | 1497246284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018702) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR18914600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00828900) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-04-22 |