| NPI | 1508672585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15215700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030606) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-01-23 |