| NPI | 1700312899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00886600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN03946) |
| 363L00000X Nurse Practitioner (Licence: NY 699303) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341712-1) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2024-02-29 |