| NPI | 1891436895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F348769-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01231700) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-06 |