| NPI | 1770183790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01065900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01065900) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01065900) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01065900) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-02-12 |