| NPI | 1548037062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14968200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ14968200) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-03-18 |