| NPI | 1952859969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00752100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711391-1) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-01-04 |