| NPI | 1063944643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00758100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16274900) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2022-07-21 |