| NPI | 1801971239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00619300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP006829B) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-04-20 |