| NPI | 1710633201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01467200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR21022800) |
| 363L00000X Nurse Practitioner (Licence: NJ NUR2023000117) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2023-04-07 |