| NPI | 1952930265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01176300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345692-01) |
| 163W00000X Registered Nurse (Licence: NY 670111) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-11-23 |