| NPI | 1255194395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15041100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16186700) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-04-10 |