| NPI | 1083125389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00901300) |
| 163W00000X Registered Nurse (Licence: NY 749990) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR18804300) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2024-04-02 |