| NPI | 1730874777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027027) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01399500) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-11-29 |