| NPI | 1528713757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01279700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349192-01) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-09-01 |