| NPI | 1548921109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01249100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP023556) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-03-28 |