| NPI | 1780380329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01437000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NJ01437000) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01437000) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2026-02-04 |