| NPI | 1710510201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01021400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA RN671437) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2021-05-18 |