| NPI | 1699149666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00581700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F340000-1) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2017-11-30 |