| NPI | 1104586031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01237000) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26nj01237000) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-10-01 |