| NPI | 1770668956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ000998) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ000998) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-02-15 |