| NPI | 1700558921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01223500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01223500) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NR18879900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01223500) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-06-27 |