| NPI | 1366918294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00861900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017811) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-11-13 |