| NPI | 1922843473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15094100) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ15094100) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |