| NPI | 1861032740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00966500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00966500) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00966500) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-09-21 |