| NPI | 1659119220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15114400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR26058900) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-11-11 |