| NPI | 1770927998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15077000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 670422) |
| 363L00000X Nurse Practitioner (Licence: NY 353443) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2024-05-30 |