| NPI | 1053950451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26Nj01179800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 713261) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345943) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 345943) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-06-21 |