| NPI | 1144685389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ009623600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16768700) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-04-28 |