| NPI | 1154040327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01395800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18814900) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-12-07 |