| NPI | 1215345822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00564000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14318000) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007772) | |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2024-04-08 |