| NPI | 1548815566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01479400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020623) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-01-30 |