| NPI | 1588245245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11026615) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01164200) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 0) | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-04-01 |