| NPI | 1922540681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00699400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 341094) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2017-02-15 |