| NPI | 1629448493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00595500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR1252700) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2023-02-17 |