| NPI | 1336821289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14872900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 352115) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |