| NPI | 1861848772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00630900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00630900) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00630900) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2017-03-01 |