| NPI | 1225575202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NR12324900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565776) |
| 163W00000X Registered Nurse (Licence: NJ 26NR12324900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342844) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F342844) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-12-21 |