| NPI | 1659742336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00689300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33340072) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2025-01-08 |