| NPI | 1487107389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00654400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15559400) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-05-16 |