| NPI | 1821819251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15183900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17898100) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ15183900) | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-11-18 |