| NPI | 1174178909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00975200) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NR11739700) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00975200) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-10-14 |