| NPI | 1710433701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00655100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00655100) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-04-26 |