| NPI | 1275006769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00873500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343875-1) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |