| NPI | 1275379190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15096500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15096500) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-11-11 |