| NPI | 1184105512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00875600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f343163) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-11-05 |