| NPI | 1780445940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR16941700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00948600) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ00948600) | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |