| NPI | 1225672298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00952900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 345167) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2020-06-05 |