| NPI | 1598439564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR19217900) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01213500) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-08-29 |