| NPI | 1780921551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00390900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp012398) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2020-05-16 |