| NPI | 1316492986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26nj00662200) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2020-02-20 |