| NPI | 1710461744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 34291501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00856200) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11012500) | |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2024-02-26 |