| NPI | 1477938728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00615000) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: NJ 26NR14980200) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-04-30 |