| NPI | 1689048316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00726500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA sp015423) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015423) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2020-07-17 |