| NPI | 1689005589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00487900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013482) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-06-30 |