| NPI | 1942710884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00729600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP017399) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2022-10-18 |