| NPI | 1679909501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00465600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00465600) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R209137) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-09-29 |