| NPI | 1659399780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00549300) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA SP008583) |
| 363L00000X Nurse Practitioner (Licence: PA SP008583) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-04-22 |