| NPI | 1962945253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00724300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3410811) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2020-12-10 |