| NPI | 1720754922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01358700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15798400) |
| 163W00000X Registered Nurse (Licence: PA RN632050) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-10-03 |