| NPI | 1073836177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00621100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1018097) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2022-07-21 |