| NPI | 1417339136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR14880200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00565400) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-09-26 |