| NPI | 1841792017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01262500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012631) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-01-28 |