| NPI | 1083443824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15144700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp029843) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-10-04 |