| NPI | 1205488129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01308700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F344024) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-05-31 |