| NPI | 1013653971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01332700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348776) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ332700) | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-11-07 |