| NPI | 1902482599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NR15003000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15003000) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F342981) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-07-31 |