| NPI | 1558944934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01118300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023445) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-10-03 |