| NPI | 1740647130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01257500) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 322413-1) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2022-04-21 |