| NPI | 1396034120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00324100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00324100) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341048) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00324100) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-01-13 |