| NPI | 1902112063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00348900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00348900) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00348900) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR10478300) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-02-11 |