| NPI | 1396397071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01418100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711447) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01418100) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-01-02 |