| NPI | 1851870885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00839700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 26NJ00839700) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2021-10-20 |