| NPI | 1629616404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00998400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00998400) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ00998400) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2021-04-26 |