| NPI | 1144662198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00839000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643799) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338667) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-02-12 |