| NPI | 1659655058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00344400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12434600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00344400) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-07-21 |