| NPI | 1710326442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00444600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027591) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2024-02-29 |