| NPI | 1285486761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR21658400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 734401) |
| 163W00000X Registered Nurse (Licence: NJ 26NR21658400) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15050400) | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-09-04 |