| NPI | 1992366215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10651) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00904800) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00904800) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-11-06 |