| NPI | 1346699063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01122000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11163700) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-11-05 |