| NPI | 1861062473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01173300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22594800) |
| 363L00000X Nurse Practitioner (Licence: PA SP023929) | |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2025-01-09 |