| NPI | 1275140766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14851900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008743) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-06-15 |