| NPI | 1932411857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00169700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NO0011435800) |
| 363L00000X Nurse Practitioner (Licence: NY 545216-1) | |
| 363L00000X Nurse Practitioner (Licence: NY F440016-1) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-05-20 |