| NPI | 1720454978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00593400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13457900) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2024-02-05 |