| NPI | 1720496532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00739600) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 26NR16740400) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 593722) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-05-11 |