| NPI | 1427423920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00622100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15684900) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-10-18 |