| NPI | 1205916855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 430280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00086200) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-02-24 |