| NPI | 1154407096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F381608) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01194600) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-03-27 |