| NPI | 1043762123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00956000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307942-1) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-11-02 |