| NPI | 1700506151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01346000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F353008-01) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ01346000) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-07-03 |