| NPI | 1851884456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01439000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307111) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-08-18 |