| NPI | 1285332973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01394400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ AG07220019) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-08-04 |