| NPI | 1881807774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NN098031) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ NN098031) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-03-05 |