| NPI | 1154891869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00960600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 343795) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-07-18 |