| NPI | 1649686437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00958500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 340229) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9325640) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-02-07 |