| NPI | 1821304569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00516400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335859) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 5174861) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2021-09-22 |