| NPI | 1841700952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00857100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18188800) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-01-19 |