| NPI | 1225521800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00802500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345212) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-01-14 |