| NPI | 1275199317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00883300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F343579-1) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-11-13 |