| NPI | 1679030639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00900100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00900100) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-09-09 |