| NPI | 1699969659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26nj00565900) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 26NJ00565900) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2021-04-26 |