| NPI | 1255965265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01025200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16231500) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-05-17 |