| NPI | 1699170787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00923500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014263) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2020-09-15 |