| NPI | 1164966438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 309102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00668400) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2025-11-17 |