| NPI | 1669187902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22832300) |
| 163W00000X Registered Nurse (Licence: PA RN685967) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01457800) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-07-18 |