| NPI | 1952813644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00776000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018046) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-08-01 |