| NPI | 1225508203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00883800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 26NJ00883800) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2023-03-15 |