| NPI | 1518403179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14855000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341140) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2023-07-26 |