| NPI | 1164153441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14971200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349764) |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2024-02-22 |