| NPI | 1275293268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 26NR19215300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01239100) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F348843-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01239100) | |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2023-06-09 |