| NPI | 1114566007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00948000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00948000) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-02-28 |