| NPI | 1639137771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006579B) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ NN095449NJ) |
| 207Q00000X Family Medicine (Licence: PA VP006579B) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2021-12-14 |