| NPI | 1225169121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3309701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN08959300) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-03-17 |