| NPI | 1194295378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00880200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00880200) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2020-08-03 |