| NPI | 1346816469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01157700) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 26NJ01157700) |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2024-05-15 |