| NPI | 1841857752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01314800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344433) |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2023-08-31 |