| NPI | 1659904274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01024000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10679500) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2022-04-14 |