| NPI | 1003671686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ SP030616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15046700) |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-01-16 |