| NPI | 1235362120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj01238200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075695) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305248) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2022-04-25 |