| NPI | 1235673096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00739000) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN1016374) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2022-07-21 |