| NPI | 1578064770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00806100) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-04-30 |