| NPI | 1386343655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14987300) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NJ 26NR21783100) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-11-12 |