| NPI | 1255067427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F349904) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01441500) | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-10-19 |