| NPI | 1508336447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00880600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00880600) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-05-30 |