| NPI | 1861463010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00151100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008527) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-02-06 |