| NPI | 1356019186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01229300) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NO08869200) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-01-03 |