| NPI | 1508354788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00793700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018313) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-07-18 |