| NPI | 1679806327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00308300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010462) |
| 363L00000X Nurse Practitioner (Licence: PA RN568187) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2020-10-20 |