| NPI | 1912243692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00467400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP012630) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2021-11-18 |