| NPI | 1831572049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01370600) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 625006) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-04-30 |