| NPI | 1053657411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00405400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337677-1) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-11-10 |