| NPI | 1225892136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15017900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20219700) |
| 163W00000X Registered Nurse (Licence: NY 767501) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-13 |