| NPI | 1548927908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01227300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347226) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-05-10 |