| NPI | 1720697188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01101500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SPO22211) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-02-11 |