| NPI | 1639937147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028878) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15027400) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-07-22 |