| NPI | 1932638269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00729900) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NJ00729900) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-05-11 |