| NPI | 1548421936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00176300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335439) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-01-28 |