| NPI | 1265086821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00940700) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00940700) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00940700) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2021-05-28 |