| NPI | 1942544804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00527500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012530) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2025-06-23 |