| NPI | 1114320710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00848400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26700848400) |
| 163WG0000X Registered Nurse, General Practice (Licence: NJ 26nr16088800) | |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2021-02-09 |