| NPI | 1639817216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01304200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01304200) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01304200) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01304200) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01304200) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-09-05 |