| NPI | 1770257750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01196100) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR18167800) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-09-07 |