| NPI | 1265048359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01112600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NR19297700) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2021-03-10 |