| NPI | 1750003711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01368300) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NJ 26NJ01368300) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-04-17 |