| NPI | 1689829095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01116800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN322210L) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP009533) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2021-03-23 |