| NPI | 1518542141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26nj01148700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20444700) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-02-06 |