| NPI | 1649791104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR23741500) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: NY 729890-1) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-11-21 |