| NPI | 1629610167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00927600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26RN18111600) |
| 163W00000X Registered Nurse (Licence: NY 574808-1) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00927600) | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |