| NPI | 1083496160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15160300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19918500) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-09-30 |