| NPI | 1609516483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR09692900) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NJ 26NR09692900) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |