| NPI | 1770325516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 795975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NR22643700) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |