| NPI | 1770048522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00901500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14740300) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-10-02 |