| NPI | 1174187843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00879700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F342602-1) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-05-10 |