| NPI | 1831912278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ p01587000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20484100) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-19 |