| NPI | 1548802630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 353345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00952000) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2025-07-15 |