| NPI | 1942683768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01172400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339426) |
| 163W00000X Registered Nurse (Licence: NY 634182) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-12-20 |