| NPI | 1881634731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ00057400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ NJ00057400) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-08-23 |