| NPI | 1710203450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00285900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NO09339100) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-05-19 |