| NPI | 1922564749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00882400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14486900) |
| 363L00000X Nurse Practitioner (Licence: NY 310723) | |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2022-09-13 |