| NPI | 1669980769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ00769800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00769800) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-02-11 |