| NPI | 1427522002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00872900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343791) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-28 |