| NPI | 1699512574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15060200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18347400) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |