| NPI | 1801667290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029050) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15011600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15011600) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-01-23 |