| NPI | 1780309252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR11222900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ F09220042) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |