| NPI | 1316362130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00607800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170992) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2021-04-27 |