| NPI | 1922630359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01014200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 27622) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-05-06 |