| NPI | 1811559875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01043800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R111283) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2023-06-01 |