| NPI | 1053675249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15030800) |
| 163W00000X Registered Nurse (Licence: NY 6303161) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00377500) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-11-03 |