| NPI | 1154879872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00939900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12627600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00939900) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-10-30 |