| NPI | 1811592298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14946300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011738) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-12-25 |