| NPI | 1639413073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00405700) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP012574) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2022-10-19 |