| NPI | 1124305958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01397800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344186) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2024-09-25 |