| NPI | 1366176398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 1366176398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 1366176398) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-11-21 |