| NPI | 1952663304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00381700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 337102) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-11-13 |