| NPI | 1851081905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01447000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01447000) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-09-26 |