| NPI | 1699152306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00565500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014280) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-11-06 |