| NPI | 1356096713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14977400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F348661-01) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-07-12 |