| NPI | 1811679566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14941400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1172139) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-12-27 |