| NPI | 1699055822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00797200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10115000) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2019-04-25 |