| NPI | 1093238040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01214900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175118) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-02-09 |