| NPI | 1316306269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00620700) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: NJ 26NJ00620700) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 26NJ00620700) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 26NJ00620700) | |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: NJ 26NJ00720700) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: NJ 26NJ00620700) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015914) | |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2025-07-09 |