| NPI | 1457917007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01437200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344395) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2023-02-28 |