| NPI | 1962889915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00565100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP014700) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-12-20 |