| NPI | 1831728153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01416200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18141400) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-03-31 |