| NPI | 1740822451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15152000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012400) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-11-07 |