| NPI | 1659824704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307732-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00648500) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2019-06-18 |