| NPI | 1144947094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17664800) |
| 163W00000X Registered Nurse (Licence: NY 700665) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01388300) | |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-08-18 |