| NPI | 1013521954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01088500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22243700) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 687420) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F346421) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2022-05-08 |