| NPI | 1053958579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01297000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004410) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2022-08-03 |