| NPI | 1790147304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00626300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN603891) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17986800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015344) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-01-31 |