| NPI | 1609334218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00906500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020065) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |