| NPI | 1629025747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00298300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008015) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-05-19 |