| NPI | 1386116051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00791200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135243) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-09-09 |