| NPI | 1528594173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341734) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00738300) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-02-25 |