| NPI | 1396166237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00472400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00472400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 308911) | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2021-01-07 |