| NPI | 1396301107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00918800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F02190755) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-07-31 |