| NPI | 1700839685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN07783400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 36NC07783400) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-11-13 |