| NPI | 1295517373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ14936600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14936600) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ14936600) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-12-21 |