| NPI | 1093146581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00428400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337918-1) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-09-27 |