| NPI | 1144849803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01101800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691959-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16774200) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2021-04-27 |