| NPI | 1316667678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01364700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19357800) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-09-23 |