| NPI | 1588350631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15060400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349295) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-01-10 |