| NPI | 1699458729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01457100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18035500) |
| 163W00000X Registered Nurse (Licence: NY 699191) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F352521) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |