| NPI | 1568894244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00453900) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00453900) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00453900) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-03-17 |