| NPI | 1326804840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15023400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12009) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2025-01-16 |