| NPI | 1174295778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01395200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996988-NP) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-10-19 |