| NPI | 1083495477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15122200) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26nr19890400) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-10-21 |