| NPI | 1831744291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ AG07190265) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00947000) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-04-17 |