| NPI | 1740712777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00721800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26nr11206200) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP017260) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-11-10 |