| NPI | 1861068827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01163000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 26NJ01163000) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-08-09 |