| NPI | 1508586967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 78333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 2021207711) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-06-07 |