| NPI | 1831796903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01232800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022219) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2022-11-21 |