| NPI | 1700201241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR13633700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012781) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2024-10-03 |