| NPI | 1902510019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01423700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01423700) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-11-01 |