| NPI | 1730836511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01302400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11018375) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-07-18 |