| NPI | 1023699725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01102900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345706) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |