| NPI | 1841323391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00440400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F333660) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-07-15 |