| NPI | 1497411979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01223800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01223800) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-10-10 |