| NPI | 1598197212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ01401700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F350577) |
| 163W00000X Registered Nurse (Licence: NY 671597) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-12-14 |