| NPI | 1700482866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01081600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01081600) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01081600) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |