| NPI | 1497367817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01098000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346455) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-10-28 |