| NPI | 1285100297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R186651) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00858900) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-09-20 |