| NPI | 1861912396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00732900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f341441) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-03-17 |