| NPI | 1548890163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01008600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NP01008600) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |