| NPI | 1336801141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01210300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR22940900) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01210300) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2023-10-03 |