| NPI | 1407201189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00633600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11023962) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00633600) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2024-03-25 |