| NPI | 1588296511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01088300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP021340) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021340) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-02-01 |