| NPI | 1740007376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15187000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR19376100) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19376100) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NR19376100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15187000) | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-11-01 |