| NPI | 1861824773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00455700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338530) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-09-03 |