| NPI | 1578215141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01174400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349060) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-04-26 |