| NPI | 1073235578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01374700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19666000) |
| 163W00000X Registered Nurse (Licence: PA RN695502) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-11-15 |