| NPI | 1720360746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00345100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021999) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016443) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2025-04-24 |