| NPI | 1922277995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00168600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009698) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2023-03-29 |