| NPI | 1508983958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ NN093918) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-07-09 |