| NPI | 1376175166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01043211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059922-23) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-12-07 |