| NPI | 1821656489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00935700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343985) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-12-23 |