| NPI | 1104207695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00577600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R187387) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2020-10-06 |