| NPI | 1760784151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00432300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 305592) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2024-10-30 |