| NPI | 1912466939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00911000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00911000) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-09-18 |