| NPI | 1841419017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN05287600) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-04-05 |