| NPI | 1821862095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15004100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ F11230147) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-06-11 |