| NPI | 1033984604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01375900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19418000) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |