| NPI | 1831853050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01220800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ01220800) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-11-20 |