| NPI | 1831845866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP024153) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ01219300) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: PA SP024153) | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-04-19 |