| NPI | 1821470923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013678) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11013678) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ00582400) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00582400) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-06-15 |