| NPI | 1225513849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14928700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 742231) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F352447) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-05-24 |