| NPI | 1700557808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR22887100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F350699) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-04-17 |