| NPI | 1679159370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01149900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023397) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-09-14 |