| NPI | 1336682962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01218600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009130) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-01-17 |