| NPI | 1366980278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01267600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 590011) |
| 363L00000X Nurse Practitioner (Licence: NY 308130) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2022-07-30 |