| NPI | 1871167676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01112800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023407) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-04-06 |