| NPI | 1396367371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 345230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345230) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00949100) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-04-18 |