| NPI | 1720608276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01462800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 208800000X Urology (Licence: NJ 26NJ01462800) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01462800) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2023-05-26 |