| NPI | 1174967657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ0430800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR13084500) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2021-12-21 |