| NPI | 1518133164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ14947700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP438315) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-12-21 |