| NPI | 1215598487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01113000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657473-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344020) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-05-02 |