| NPI | 1396303707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01456000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F303046-1) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-09-05 |