| NPI | 1598385031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01237400) |
| 163W00000X Registered Nurse (Licence: PA RN669491) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-04-21 |