| NPI | 1831828110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18785900) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-08-22 |