| NPI | 1790173953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14886900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23060600) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-09-29 |