| NPI | 1699233304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021475) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00894500) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2022-06-07 |