| NPI | 1417559071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ NJ2601108200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ AG10200112) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2023-06-23 |