| NPI | 1811375736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014589) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15159300) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-05-05 |