| NPI | 1720583214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00806200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018118) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-05-28 |