| NPI | 1811600315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 26NJ01398900) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01398900) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-04-01 |