| NPI | 1689189581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14901200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339392-1) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-12-27 |