| NPI | 1548670995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00494800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017499) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00494800) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00494800) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2023-10-23 |