| NPI | 1174212336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14863400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13538400) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-03-12 |