| NPI | 1679915672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26 NJ00450600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345897) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2021-04-27 |