| NPI | 1871928572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 26NJ00441300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00441300) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00441300) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016278) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2025-03-31 |