| NPI | 1720664329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01137700) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NR11741400) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-04-21 |