| NPI | 1669804316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01422400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2269832) |
| 363L00000X Nurse Practitioner (Licence: PA SP020722) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-01-11 |