| NPI | 1255815247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15077700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7832) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-07-24 |