| NPI | 1407569262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F353815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26nj01402200) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2025-05-15 |