| NPI | 1316697675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01290700) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NJ 26NR12093800) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01290700) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ01290700) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |