| NPI | 1720584956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00836500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340091-1) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2020-08-26 |