| NPI | 1386357689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 350427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01414300) |
| 363L00000X Nurse Practitioner (Licence: NY f350427) | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-02-26 |