| NPI | 1699308486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01114200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 463500730) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-08-30 |