| NPI | 1083167902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY NY341167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341167) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR14493400) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00778800) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-02-13 |