| NPI | 1538996863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15151300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035312) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |