| NPI | 1528706942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01326800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22491600) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-01-12 |