| NPI | 1699448688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR15840400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01158700) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-03-07 |