| NPI | 1568898542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00660800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R165146) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-12-19 |