| NPI | 1376200287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349462) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP024880) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01270600) | |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2024-11-24 |