| NPI | 1295400943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01190900) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01190900) | 
| Enumeration Date | 2021-08-13 | 
| Last Update Date | 2024-08-15 |