| NPI | 1407496060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01006400) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: NJ 26NJ01006400) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-04-30 |