| NPI | 1669745352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 25NJ00365000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00365000) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00365000) | |
| Enumeration Date | 2012-02-12 |
| Last Update Date | 2024-02-14 |