| NPI | 1699211029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00927800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017029) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-11-03 |