| NPI | 1659994895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346352) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ01034400) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-08-21 |