| NPI | 1609495688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01174700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN673587) |
| 163W00000X Registered Nurse (Licence: NJ 26NR20799000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023306) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-10-13 |