| NPI | 1609382928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14927200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022943) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342426) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-03-04 |