| NPI | 1588996250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00328000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp010624) |
| 163W00000X Registered Nurse (Licence: PA RN584631) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2020-10-19 |