| NPI | 1083952097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00951800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 26NJ00951800) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-03-08 |