| NPI | 1659794642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00898300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP013586) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-08-22 |